A Brief History of the Evolution of Operating Room Attire

Total Page:16

File Type:pdf, Size:1020Kb

A Brief History of the Evolution of Operating Room Attire 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 From formalwear and frocks to scrubs and gowns: A brief history of the evolution of operating room attire AUTHORS Jessica L. Buicko, MD1 Michael A. Lopez, DO1 Miguel A. Lopez-Viego, MD, FACS1 1Department of Surgery, University of Miami-JFK Medical Center, Atlantis, FL CORRESPONDING AUTHOR Jessica L. Buicko 225 NE 1st St #209 Delray Beach, FL 33444 518-229-7711 [email protected] ©2016 by the American College of Surgeons. All rights reserved. CC2016 Poster Competition • From formal wear and frocks to scrubs and gowns • 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Most of the knowledge of the history of surgical Introduction attire is derived from drawings, paintings and Stroll into any operating room and you will find surgeons anecdotal reports. Although conventional adorned in various shades of blues and greens along with their today, “scrubs” were not routinely worn until masks, scrub hats, and surgical gowns. The surgical attire that has become commonplace throughout operating rooms around the mid-20th century. In the 19th century, it the world, has only been around for less than a century. would be commonplace for a surgeon to shrug off his suit jacket, roll up his sleeves, throw on A brief surgical timeline a frock or apron, and begin operating. Over the Prior to 19th century - Surgeons performed operations in their years, surgical garb continues to evolve to make street clothes with the only concessions being the removal of procedures safer for both the patient and the coats and rolling-up of shirt-sleeves during bloody procedures. surgeon. This paper will serve to outline the Early 19th century - Surgeons often wore black “frock coats” to reflect respectability and the “somber nature of their work,”1 interesting evolution of operating room attire. leading to the perennial surgical story of the frock coat “stiff with caked blood”2 (Figure 1). Late 1870s - Lister covered his waistcoat and trousers with an “ordinary unsterilized huckaback towel for his own protection not that of the patient.”3 1883 - German Surgeon, Gustav Neuber of Kiel, was the first to use a sterilized surgical gown.4 1885 - Lucy Osburn, Lady Superintendent of Sydney Hospital, wrote to Florence Nightingale about the outfits worn by surgeons in the operating theatre: “The doctor and all his assistants take off their coats and have tied round them garments of white makintosh which cover them from chin to toes, and over this a shift- a kind of white cotton surplice with loose sleeves coming to the elbows, this latter changed after each case” (Figure 2).5 1 2 ©2016 by the American College of Surgeons. All rights reserved. CC2016 Poster Competition • From formal wear and frocks to scrubs and gowns • 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 The evolution of scrubs Originally known as “surgical greens” because of their color, this form of attire has now colloquially been termed “scrubs” because of the simple notion that they are worn in a “scrubbed” environment. The first mention of scrubs was in 1894 when Dr. Hunter Robber stated, “It is safer and better that all should put on a complete change of costume rather than simply don a sterilized coat and pair of trousers over the ordinary clothing.” He also suggested this attire be made white so that it can easily be washed.7 When electricity took hold and more lights were used operating 3 rooms rather than relying on windows and skylights, the combination of bright lights and white attire led to significant glare and “there was a green ghosting effect when shifting gaze 1893 - Halsted’s senior resident, Dr. Joseph Bloodgood from bloody red innards to white backgrounds.2 (Figure 3), noted that the practice of gloving the surgical team dramatically decreased infection rate but surgeons reluctant In 1914, San Francisco surgeon Harry Sherman, believed that a because gloves led to an “impaired sense of touch”.4 color scheme might evolve from the red of blood and tissues. He recommended green, a color “less wearisome to the eyes Early 1900s - The Spanish flu” pandemic and growing interest and [one that] minimized reflection.” He further suggested that in Lister’s germ theory led to some surgeons wearing cotton green “keeps the surgeon’s eye acute to red and pink.”8 “Ciel” 6 masks in surgery to protect themselves from diseases. (sky) blue became popular as a color for surgical apparel in the 1916 - The technique of “donning gloves” during surgery first 1950s, when color television began to be used for videotaping 9 appears referenced in texts.6 and closed-circuit teaching. 1920s - The use of masks becomes routine practice in the Where we are today operating room.2 Attire has been a new significant focus of the American College 1939 - Devenish and Miles showed that when the wrists of Surgeons (ACS). In 2016, the ACS announced specific of a cotton gown became wet during an operation, skin guidelines for appropriate surgical attire reasoning that these microorganisms which may infect the patient pass readily guidelines are based on decorum, professionalism, common through the material. By equipping the surgeon with waterproof sense, and available evidence.10 over-sleeves Devenish and Miles prevented wetting of the sleeves.6 The statement in its entirety can be viewed on the ACS website.10 Some highlights include the notion that operating 1940s- Advances antisepsis and wound infection led to room scrubs should not be worn outside the hospital perimeter antiseptic drapes and gowns become adopted. and should be changed at least daily. Scrubs worn outside of 2016- American College of Surgeons announces new guidelines the operating room suite should be covered up with a white for surgical attire. coat or other appropriate cover. Masks should never be worn dangling at any time. In addition to promoting patient safety, the ACS guidelines uphold a culture of professionalism.10 ©2016 by the American College of Surgeons. All rights reserved. CC2016 Poster Competition • From formal wear and frocks to scrubs and gowns • 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 References Legend 1 Picard, A. Why do physicians 1 Thomas Eakins, The Gross wear white lab coats? The Clinic (1875). Samuel Gross Globe and Mail. 2012. (1805-1884) wears a frock coat during surgery, as do 2 Hardy, S. Corones, A. Dressed all of his attendants. Gross to Heal: The Changing expressed skepticism regarding Semiotics of Surgical Dress. Lister’s use of carbolic acid Fashion Theory. 2016;20(1):27- and the latter’s antiseptic 49. system. Image courtesy of the 3 Godlee, Rickman. Lord Lister. Philadelphia Museum of Art. London. 1918. 2 Thomas Eakins, The Agnew 4 Adams, L.W., Aschenbrenner, Clinic (1889). D. Hayes Agnew C.A., Houle, T.T, et al. (1818-1892) was among the Uncovering the History first in the U.S. to adopt of Operating Room Attire Listerism. All members of his through Photographs. team wear clean white gowns. Anesthesiology. 2015;124(1): None wear gloves. Image 19-24. courtesy of the University of 5 Doherty, M. The life and Pennsylvania Art Collection, times of Royal Prince Alfred Philadelphia, PA. Hospital, Sydney, Australia. 3 Surgeon Joseph Bloodgood New South Wales College of (third from left) wearing Nursing. 1996. gloves during an operation, 6 Blowers, R., McClusky, M. 1893. One of the first Design of operating-room operations where the surgeon dress for surgeons. The wears rubber gloves. Image Lancet. 1965;2(7414):681-683. courtesy Alan Mason Chesney Medical Archives, Johns 7 Belkin, N. Use of scrubs Hopkins Medical Institutions. and related apparel in health care facilities. AJIC. 1997;25(5):401-404. 8 Belkin, N. Surgical scrubs- Where we were, where we are going. Today’s Surgical Nurse. 1998;20(2):28-34. 9 Laufman, H., Belkin, N., Meyer, K. A critical review of a century’s progress in surgical apparel: How far have we come? J Am Coll Surg. 2000;191(5):554-568. 10 Board of Regents, The American College of Surgeons. Statement on Operating Room Attire. Available at: https:// www.facs.org/about-acs/ statements/87-surgical-attire. Accessed September 1, 2016. ©2016 by the American College of Surgeons. All rights reserved. CC2016 Poster Competition • From formal wear and frocks to scrubs and gowns • 9.
Recommended publications
  • Dress and Cultural Difference in Early Modern Europe European History Yearbook Jahrbuch Für Europäische Geschichte
    Dress and Cultural Difference in Early Modern Europe European History Yearbook Jahrbuch für Europäische Geschichte Edited by Johannes Paulmann in cooperation with Markus Friedrich and Nick Stargardt Volume 20 Dress and Cultural Difference in Early Modern Europe Edited by Cornelia Aust, Denise Klein, and Thomas Weller Edited at Leibniz-Institut für Europäische Geschichte by Johannes Paulmann in cooperation with Markus Friedrich and Nick Stargardt Founding Editor: Heinz Duchhardt ISBN 978-3-11-063204-0 e-ISBN (PDF) 978-3-11-063594-2 e-ISBN (EPUB) 978-3-11-063238-5 ISSN 1616-6485 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 04. International License. For details go to http://creativecommons.org/licenses/by-nc-nd/4.0/. Library of Congress Control Number:2019944682 Bibliographic information published by the Deutsche Nationalbibliothek The Deutsche Nationalbibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data are available on the Internet at http://dnb.dnb.de. © 2019 Walter de Gruyter GmbH, Berlin/Boston The book is published in open access at www.degruyter.com. Typesetting: Integra Software Services Pvt. Ltd. Printing and Binding: CPI books GmbH, Leck Cover image: Eustaţie Altini: Portrait of a woman, 1813–1815 © National Museum of Art, Bucharest www.degruyter.com Contents Cornelia Aust, Denise Klein, and Thomas Weller Introduction 1 Gabriel Guarino “The Antipathy between French and Spaniards”: Dress, Gender, and Identity in the Court Society of Early Modern
    [Show full text]
  • M.D. Handbook and Policies
    M.D. Handbook and Policies 1 Please note that information contained herein is subject to change during the course of any academic year. Wayne State University School of Medicine (WSUSOM) reserves the right to make changes including, but not limited to, changes in policies, course offerings, and student requirements. This document should not be construed in any way as forming the basis of a contract. The WSUSOM Medicine M.D. Handbook and Policies is typically updated yearly, although periodic mid-year updates may occur when deemed necessary. Unlike degree requirements, changes in regulations, policies and procedures are immediate and supersede those in any prior Medical Student Handbook. The most current version of the WSUSOM of Medicine M.D. Handbook and Policies can always be found on the School of Medicine website. UPDATED 09.15.2021 UNDERGRADUATE MEDICAL EDUCATION MAJOR COMMITTEES • Admissions Committee • Curriculum Committee • Institutional Effectiveness Committee • Professionalism Committee • Promotions Committee 2 DOCUMENT OUTLINE 1. GENERAL STANDARDS 1.1 NEW INSTITUTIONAL DOMAINS OF COMPETENCY AND COMPETENCIES • Domain 1: Knowledge for Practice (KP) • Domain 2: Patient Care (PC) • Domain 3: Practice-Based Learning and Improvement (PBLI) • Domain 4: Interpersonal and Communication Skills (ICS) • Domain 5: Professionalism (P) • Domain 6: Systems-Based Practice (SBP) • Domain 7: Interprofessional Collaboration (IPC) • Domain 8: Personal and Professional Development (PPD) • Domain 13: Entrustable Professional Activities for Entering
    [Show full text]
  • Uniform Program Policy
    ADMINISTRATIVE POLICY MANUAL Uniform Program Policy Purpose: ​ Patients, their families, and members of the Hospital’s Patient Family Advisory Council (PFAC) have commented on the difficulty they have identifying care providers. The ability of our patients, and their families, to identify their caregivers is essential to providing patients with a safe and satisfying experience. As a result, Middlesex Health System, will use a variety of identification tools - badges, color-coded scrubs, lab coats - to help patients better identify their care providers. Scope: ​ Employed staff members working in an area, department or function that provides direct patient care. Procedures: ​ A. Title Badge and Identification Badge: ​ Title badges that clearly display the employee's job title will be provided by Middlesex and are expected to be worn in conjunction with the employee’s identification badge. Both title badge and identification badge must be worn on the upper part of the body with the employed staff member’s picture facing outward during all working hours. Nothing may block or obscure the title and identification badges. During work hours and/or while wearing badges, employed staff members are representatives of Middlesex Health System and are expected to follow the guidelines of this program. Exceptions include: safety practices, infection control and isolation area practices, the use of necessary outer garments or protective clothing that may cover the badge, for machine or equipment safety purposes. B. Color-based Dress Code: ​ Employed staff members working in an area, department or function with a specific uniform requirement are expected to wear a color-coded uniform, while on duty, in accordance with the following color-coded dress code protocol.
    [Show full text]
  • A Plantation Family Wardrobe, 1825 - 1835
    Virginia Commonwealth University VCU Scholars Compass Theses and Dissertations Graduate School 2010 A Plantation Family Wardrobe, 1825 - 1835 Jennifer Lappas Virginia Commonwealth University Follow this and additional works at: https://scholarscompass.vcu.edu/etd Part of the Theatre and Performance Studies Commons © The Author Downloaded from https://scholarscompass.vcu.edu/etd/2299 This Thesis is brought to you for free and open access by the Graduate School at VCU Scholars Compass. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of VCU Scholars Compass. For more information, please contact [email protected]. 1 The Carter Family Shirley Plantation claims the rightful spot as Virginia’s first plantation and the oldest family-run business in North America. It began as a royal land grant given to Sir Thomas West and his wife Lady Cessalye Shirley in 1613 and developed into the existing estate one can currently visit by 1725. The present day estate consists of the mansion itself and ten additional buildings set along a Queen Anne forecourt. These buildings include a Root Cellar, Pump House, two-story Plantation Kitchen, two story Laundry, Smokehouse, Storehouse with an Ice House below, a second Storehouse for grain, Brick Stable, Log Barn and Pigeon House or Dovecote. At one time the Great House was augmented by a North and a South Flanker: they were two free standing wings, 60 feet long and 24 feet wide and provided accommodations for visitors and guests. The North Flanker burned and its barrel-vaulted basement was converted into a root cellar and the South Flanker was torn down in 1868.
    [Show full text]
  • Price List Best Cleaners 03-18.Xlsx
    Price List Pants, Skirts & Suits Shirts & Blouses Pants Plain…………………………………………… 10.20 Business Shirt Laundered and Machine Pants, Silk/Linen…………………………………… . 12.30 Pressed (Men’s & Women’s)…… 3.60 Pants, Rayon/Velvet………………………………… 11.80 Pants Shorts………………………………………. 10.20 Chamois Shirt…………………………………………… 5.35 Skirts, Plain………………………………………… . 10.20 Lab Smock, Karate Top………………………………… . 7.30 Skirts, Silk, Linen………………………………….. 12.30 Polo, Flannel Shirt……………………………………… .. 5.35 Skirts, Rayon Velvet……………………………… .. 11.80 Sweat Shirt……………………………………………… . 5.70 Skirts Fully Pleated………………………………. 20.95 T-Shirt…………………………………………………… .. 4.60 Skirts Accordion Pleated………………………… . 20.95 Tuxedo Shirt……………………………………………… . 6.10 Suit 2 pc. (Pants or Skirt and Blazer)……………… 22.40.. Wool Shirt………………………………………………… . 5.35 Suit 3 pc. (Pants or Skirt Blazer & Vest)……………… 27.75. Suit, body suit………………………………………… 10.60. Blouse/Shirt, Cotton, Poly…………………………………… 9.50.. Suit, Jumpsuit…………………………………… 25.10 Blouse/Shirt, Rayon, Velvet………………………………… 11.10.. Sport Jacket, Blazer……………………………… .. 12.20 Blouse/Shirt, Silk, Linen……………………………………… 11.60 Tuxedo……………………………………………… . 22.95 Blouse/Shirt, Sleeveless……………………………………… 7.80 Vest………………………………………………… . 5.35 Dresses Outerwear Dress, Plain, Cotton, Wool, Poly, Terry, Denim…….. 19.00 Blazer, Sport Jacket……………………………… . 12.20 Dress,Silk, Linen …….………………………………. 23.20 Bomber Jacket………………………………….. 16.20 Dress,Rayon,Velvet …………………………………. 22.20 Canvas Field Coat………………………………… 16.20 Dress, 2-Piece, Dress & Sleeveless Jkt……………………… 27.60 Canvas Barn Jacket………………………………
    [Show full text]
  • Human Resources
    Human Resources Medical University Hospital Authority Entity Policy # MUHA HR Policy 8 - Personal MUHA MUHA HR-8 Appearance and Dress Code 3.2020 Responsible Department: Medical Center Human Resources Date Originated Last Reviewed Last Revised Effective Date 08/01/1977 02/01/2020 02/01/2020 04/16/2020 THE LANGUAGE USED IN THIS DOCUMENT DOES NOT CREATE AN EMPLOYMENT CONTRACT BETWEEN THE EMPLOYEE AND THE MEDICAL UNIVERSITY OF SOUTH CAROLINA OR ANY AFFILIATED ENTITIES (MUSC). MUSC RESERVES THE RIGHT TO REVISE THE CONTENT OF THIS DOCUMENT, IN WHOLE OR IN PART. NO PROMISES OR ASSURANCES, WHETHER WRITTEN OR ORAL, WHICH ARE CONTRARY TO OR INCONSISTENT WITH THE TERMS OF THIS PARAGRAPH CREATE ANY CONTRACT OF EMPLOYMENT. Printed copies are for reference only. Please refer to the electronic copy for the official version. Policy Statement: The workplace appearance of all MUHA care team members is important to the image the organization conveys to patients, visitors, co-workers and other care team members, to the general public MUHA care team members come in contact with in the performance of their assigned duties and must be appropriate for the work performed. Scope: MUHA Charleston Division MUHA Florence Division MUHA Lancaster Division Policy: A. ID Badges: Must be worn with the name and photo clearly visible at lapel level on a standard collar clip. B. Hair: Hair, beards, and mustaches shall be clean and neatly kept. Direct patient care team members may wear hair at shoulder length; long hair, including loose multiple braids, should be styled off the shoulders, pulled back and secured.
    [Show full text]
  • Captain Tom's Bespoke Regimental Blazer
    Captain Tom’s Bespoke Regimental Blazer Captain Tom Moore’s local tailors, Souster & Hicks wanted to gift the hero with new bespoke regimental blazer and trousers, to coincide with his 100th birthday celebrations, but also as a fitting tribute for the war veteran’s VE day celebrations. The heroic war veteran raised over £32 million for the NHS, provided a beacon of hope for the world at such a dark time and is now a Guinness World record holder for the oldest person to have a number one single. Souster & Hicks, a family tailoring business in the beautiful village of Woburn in Bedfordshire is just down the road from Captain Tom’s residency of Marston Moretaine. The family is made up of husband and wife duo, Geoff and Laura Souster, and their two sons Wes and Scott, and Daughter-in-law Natalie. They have well over 100 years of experience between them and tailor to the same high standards as the world-renowned Savile Row tailors. The outfit was made by their team of craft tailors, and London based Benson & Clegg helping with the badge and having the buttons specially hand engraved with Captain Tom’s regiment, all pulling together to get this made in time. Captain Tom Moore commented: “It’s a beautiful bespoke blazer, and one that I will wear with pride for the rest of my days. The craftsmanship and the finer details that have been put into the blazer is astonishing for just 10 days’ work. I was concerned that it would be hard for them to get my measurements and fit me, due to the social distancing regulations, but they done fantastically, and it fits me like a glove.
    [Show full text]
  • 2019 Professional Appearance and Dress Code.Pdf
    Professional Appearance Team members should present a professional image in their appearance and actions in order to Own the Moment and Champion Excellence. Policy This policy is to set a minimum guideline for team members in regard to appearance. Our ability to Champion Excellence and inspire trust from our patients and families is dependent on presenting a professional image in our appearance and in our actions. Communication professionals say people form an impression of someone within seven seconds of their first meeting. If our team members look and act professionally, patients and families have greater confidence in our ability. We want our team members to not only do their best, but to also look their best as they continue to Own the Moment and mirror the professional image of our organization. Some of the guidelines (such as footwear) reflect safety and health issues for our team as well as patients, while others work towards Fostering Unity. An important goal of this policy is consistency. When everyone interprets the policy in the same manner, the result is consistent and fair administration. Departmental dress codes which exceed hospital standards must be followed. The Professional Appearance policy must be followed whenever at work and on the clock, including trainings and professional development. Any medical, religious or other exceptions to the “Professional Appearance” policy must be approved by Human Resources. Documentation to support reasons may be required. Permanent medical exceptions must be updated annually. Procedures General Guidelines Your attire should always project a well-groomed, professional appearance. If you have a question or concern about whether something is appropriate to wear, the best rule is not to wear it, or discuss it with your manager or supervisor before coming into work.
    [Show full text]
  • Things to Remember While Choosing Designer Evening Dresses
    Jul 28, 2011 15:36 IST Things to Remember While Choosing Designer Evening Dresses Evening dresses are formal dresses worn by women for special events like formal dinner, wedding receptions or cocktail parties. True to the name these dresses are only worn during evening and are not suited for day times. Designer evening dresses offer exquisite patterns and trends and are available in a range of materials like satin, silk, velvet, chiffon and georgette among others. Some of the common varieties include ball gowns, which are formal wear and are best worn with flashy jewelry. One of the most formal evening dresses include the Ball gowns, which are richly ornate, highly priced and are suitable for elegant functions. Another variety of the ball gown is the A-line dress, which has a bell-shaped bottom and a form fitting bodice and is less ornate than a ball gown. The straight cut sans any pleats accentuates a svelte figure. There are shorter dresses including cocktail dresses which are used for dinner parties or night dance. Trumpet gown is another pretty evening dress which has broad pleats towards the bottom of the gown. The form fitting bodice ensures an elegant contour and enhances the natural curves of the female frames. Another example for an evening dress include a mermaid dress, which has a trail behind the gown and a tight fitting cut Designer evening dresses are typically embellished with beads, jewels and precious stones to enhance its rich feel. In many fashion boutiques, separate sections for evening dresses can be seen which will have a good selection of evening wear of various types.
    [Show full text]
  • Dukal Personal Protective Equipment
    Personal Protective Equipment Products that provide protection for healthcare professionals working in infectious conditions. Table of Contents Gowns Isolation Gowns .....................................................................................6 Poly Coated Gowns ............................................................................7 Multi-Layer Gowns ..............................................................................8 CPE Gowns ...............................................................................................10 AAMI Level 1 Gowns ............................................................................12 AAMI Level 2 Gowns ...........................................................................14 Disposable Scrubs and Coveralls CoversoftTM Disposable Apparel ................................................18 Disposable Scrub Wear ...................................................................19 Disposable Coveralls .........................................................................20 Headwear Enhancing family & Bouffant Caps .........................................................................................21 Surgeon Caps ..........................................................................................22 community health Beard Covers ...........................................................................................23 Footwear Shoe Covers .............................................................................................24 is the way to a Boot Covers
    [Show full text]
  • Wednesday 17 June
    Diocese of Aberdeen and Orkney Scottish Episcopal Church Newsletter – Wednesday 17 June 2020 From the Bishop It is expected that the First Minister will announce tomorrow that Scotland is moving into Phase 2 of the easing of coronavirus restrictions. As a consequence from this weekend churches will be able to open for individual prayer, should they wish to do this. The Scottish Episcopal Church issued the guidelines for Phase 2 last week, and we know that across the Province very few of our churches will open. It is clear to us all that the preparations that are needed to open are considerable, and that for each church that opens there will need to be a team of volunteers ready to welcome anyone wanting to come inside to pray. In most places Vestries have responded that they would prefer to wait to consider opening in Phase 3, when collective worship might be allowed. Vestries would prefer to use the next few weeks making preparations for the time when services will be able to take place again. The comment has come to me again and again, that if opening is for individual prayer, then members prefer right now to continue to pray at home. Prayer is of course, taking place in other places, as readers of this newsletter will know. You are indeed praying in your homes, but also while out walking, using the natural world as a prompt and starting point for praise to God. You are praying in your gardens. Some of you are praying outside churches as you walk past them, especially in those places where there is a crucifix (St Margaret’s, Gallowgate) or a statue (St Mary-on-the-Rock).
    [Show full text]
  • Clothing Terms from Around the World
    Clothing terms from around the world A Afghan a blanket or shawl of coloured wool knitted or crocheted in strips or squares. Aglet or aiglet is the little plastic or metal cladding on the end of shoelaces that keeps the twine from unravelling. The word comes from the Latin word acus which means needle. In times past, aglets were usually made of metal though some were glass or stone. aiguillette aglet; specifically, a shoulder cord worn by designated military aides. A-line skirt a skirt with panels fitted at the waist and flaring out into a triangular shape. This skirt suits most body types. amice amice a liturgical vestment made of an oblong piece of cloth usually of white linen and worn about the neck and shoulders and partly under the alb. (By the way, if you do not know what an "alb" is, you can find it in this glossary...) alb a full-length white linen ecclesiastical vestment with long sleeves that is gathered at the waist with a cincture aloha shirt Hawaiian shirt angrakha a long robe with an asymmetrical opening in the chest area reaching down to the knees worn by males in India anklet a short sock reaching slightly above the ankle anorak parka anorak apron apron a garment of cloth, plastic, or leather tied around the waist and used to protect clothing or adorn a costume arctic a rubber overshoe reaching to the ankle or above armband a band usually worn around the upper part of a sleeve for identification or in mourning armlet a band, as of cloth or metal, worn around the upper arm armour defensive covering for the body, generally made of metal, used in combat.
    [Show full text]